• 제목/요약/키워드: Using attitude

검색결과 4,866건 처리시간 0.034초

간호서비스 질에 대한 환자의 인식과 만족도 및 재방문의도와의 관계 (The Relationships among Patient's Perception, Patient's Satisfaction of Nursing Service Quality and Revisiting intention)

  • 이선아
    • 간호행정학회지
    • /
    • 제4권2호
    • /
    • pp.307-319
    • /
    • 1998
  • This study is an empirical investigation and study on the measurement of nursing service quality as perceived by patients. A series of H1. H2. H3 alternative hypotheses were tested using a sample of 250 patients in Taegu City. Korea. HI hypothese were tested for application of five component of service quality (SERVQlTAL and SE RPERF : tangiblity. reliability. responsiveness. accessibility. understandability) in Taegu area Hospitals. Validity test - the five components of service quality were rearranged into two components of service quality (personal factor. nonpersonal factor). Although SERVQUAL was verified in USA. application for five components of service quality in Korea indicated that it need more analytical studies. Nobody can deny the fact that the recent growth of the nursing service quality is one of the most important driving forces of hospital management. In many hospitals. the nursing quality charges more than 50% of the medical service quality. As a result. many hospital managers should be enormous interests in the investment potentiality of the nursing service. However. doesn't many researchers invest their time and effort on the research of the quality control in nursing service. Nursing service management is the process to satisfy customer's desires and expectations through the various service activities. Presently nursing service are being faced with three Common tasks of improving quality of nursing service. competitively differential advantage and productivity because of quantitative expansion of Nursing service. Such a phenomenon is also found in our medical service industry. resulting from increasing demands for medical service owing to national medical insurance policy and consumer's attitude change emphasizing prevention of illness. excessiveness of medical facilities in large cities and increasing medical lawsuits due to influence of consumerism. Therefore. under such circumstances. this research on nursing service is conducted from nursing managements to improve the nursing service quality problems faced by medical institutions. The results of this theoretical/empirical research are as follows: 1. Nursing service Quality is regarded as patients' perceived quality and evaluated on the basis (5 dimension) of technical and functional quality. 2. Nursing service Quality is a concept of patients evaluation on the measurable multi-dimensions intrinsic and extrinsic attributes of service. 3. Nursing service Quality is conceptually defined as the difference between the perceived service and the expected service. 4. Korean consumers trend to evaluate nursing service quality based on such dimensions as responsiveness and reliability. understandability. accessibility. tangibility. 5. After analyzing whether or not there are some differences in respective medical institution. it was found that there are significant difference on understandability. reliability. communicability. courtesy. competence. 6. After analyzing the difference between the expected nursing service and the nursing perceived service, it was found that the expected nursing service is higher than the perceived service in every medical institution. 7. HI hypothesis was tested with regard to the validity test between SERVQUAL and SERVPERF in nursing service quality. The result of validity test between SERVQUAL and SERVPERF was found to have differential result. That is the R2 of SERVPERF is higher than that of SERVQUAL. Therefore. HI was verified in nursing management. H2. H3 hypotheses were tested whether or not the nursing service quality and patient satisfaction is the preceding variable. The result of H2 hypothes is that the nursing service quality is the preceding variable of patient satisfaction and the patient satisfaction is that of revisiting intention. After analyzing whether or not there is any differences on the demographic variable of five nursing service quality factor. it was found that there are statistically significant differences on communicability and courtesy at the sex. understand ability. accessibility and tangibility at the age. understandability at the academic background respectively.

  • PDF

우리 과학 문화 해설사 되어보기 활동을 통한 전통 과학 지식의 교육적 활용 방안 탐색 (Exploring the Use of Traditional Science Knowledge by 'Being a Commentator on Korean Traditional Science Culture' Activities)

  • 이지혜;신동희
    • 한국과학교육학회지
    • /
    • 제37권1호
    • /
    • pp.193-214
    • /
    • 2017
  • 본 연구는 우리 전통 과학의 고유한 의미를 유지하며 TSK를 과학 교육에 접목할 수 있는 방향 모색의 방법으로 '우리 과학 문화 해설사'라는 과학 활동을 통해 중학교 학생들이 이해한 TSK의 소재는 무엇인지, TSK의 이해에 영향을 준 학습 맥락은 무엇인지, 학생들이 구성한 TSK 가치관은 무엇인지 파악하기 위해 수행되었다. 7명의 중학교 1학년 남 여 학생들은 7개월 동안 창덕궁의 전통 과학 소재를 발굴하고 전통 과학 문화 해설 대본을 만들어 초등학교 고학년을 대상으로 해설을 실시했다. 분석 대상으로 학생들의 수업 과정, 해설 대본, 활동지, 조사지, 활동 후 개별 면담 등이 포함되었다. 연구 결과, 학생들은 TSK의 소재를 전통 자연관, 전통 과학 기술, 과학을 이용한 삶, 자연 과학 소재 등의 네 가지 유형으로 이해했다. 학생들의 전통 과학 학습 경험에서의 주요 학습 맥락은 소통으로 현장과의 상호작용을 통한 소통, 활동 과정에서 동료 혹은 어른들과의 의사소통, 해설사 역할로써 동생들과의 소통 등은 학생들의 TSK에 대한 경험적 이해와 맥락적이고 감각적인 과학 지식 형성, 과학의 다양한 형태와 표현에 대한 이해 그리고 과학의 설득적, 이해적, 전달적 설명 방법에 대한 경험 등에 도움을 주었다. 학생들은 TSK의 과학성, 인간적이고 소박한 특징, 과학에 대한 새로운 관점의 필요성, 문화로서 TSK를 지키고 유지할 필요성 등의 가치관을 형성했다. 본 연구의 결과를 통해 TSK가 과학 교육에서 통합적이고 실제 맥락적인 교육 현장을 제공하고 과학과 과학 방법에 대한 문화적 다양성과 동양 과학적 사고의 특성 이해에 활용될 수 있음을 보였다. 또한 전통 문화에 대한 TSK와 학교 과학의 동시적 접근은 우리 전통 문화를 바라보는 올바른 시각 형성과 주체적 태도에 기여할 수 있다.

지역사회의 폭력남편과 가정폭력범죄 행위자들의 특성 비교 (A Comparison of the Characteristics of Maritally Violent Men in a Community Sample and Batterers in the Criminal Justice System)

  • 장희숙
    • 한국사회복지학
    • /
    • 제58권4호
    • /
    • pp.141-168
    • /
    • 2006
  • 본 연구는 사회에 노출되지 않은 지역사회의 폭력남편들과 사법부의 처벌을 받은 아내폭력 가해남성들의 중요한 특성이 무엇이며, 서로 어떻게 다른지 밝히고자 하였다. 이를 위해 152명 비폭력 남성들과 사법체계의 사회기관과 접촉이 없는 82명 폭력남편들, 그리고 가정폭력범죄 처벌을 받은 336명 행위자들을 세 집단으로 분류해서 비교하였다. 다항로지스틱 회귀분석의 결과를 요약하면 다음과 같다. 비폭력 또는 지역사회 폭력집단을 예측하는 요인들은 자녀폭력, 부부평등결정권, 소득으로 나타났다. 법원의 처벌을 받은 행위자들은 아내폭력을 허용하는 태도, 학력, 자녀폭력, 질투심에서 비폭력 남편들과 구별되고 있었다. 사법체계에 노출되지 않은 지역사회의 폭력남편들은 노출된 집단보다 학력이 높고, 결혼기간이 길며, 스트레스 수준이 월등하게 높았다. 반면 가정폭력범죄 행위자들은 지역사회 폭력남편들에 비해 알코올 문제와 폭력을 허용하는 태도를 더 많이 가지고 있었다. 본 연구는 총 333명을 대상으로 MCMI-III 척도에서 제시하는 성격을 유형별로 살펴보았다. 지역사회 폭력남편들은 다른 두 집단에 비해 수동공격적인 성향이 강하고, 사법체계 행위자들보다 자기애성이 강한 것으로 나타났다. 사법체계 폭력집단에서는 상대집단들과 비교할 때 외상 후 스트레스장애만이 고유한 특성으로 발견되었다. 이러한 결과들을 기초로 이론적 논의와 실천적 방안이 제시되었다.

  • PDF

의료기관 QI 담당자의 목표추구몰입에 관한 연구 (A Study on the Goal-Orientation of QI Performers in the Medical Centers)

  • 김미숙;박재성
    • 보건의료산업학회지
    • /
    • 제2권1호
    • /
    • pp.105-124
    • /
    • 2008
  • The purpose of this research is to provide the data base for the activation of Quality Improvement operation through investigating the status of Quality Improvement operation, and finding out factors influencing on the goal-orientation of QI performers in the medical centers of more than one hundred beds where are practicing Quality Improvement operation. In order to reach the purpose, document study was carried out grounded on the proceeding researches and formulated statistical data in relation with the status of Quality Improvement performers, and proof study was carried out through questionnaire survey. The subjects of the survey were the Quality Improvement performers working in seventy three medical centers in Pusan-Gyeongnam, Daegu-Gyeongbuk, and Ulsan. Among eighty three Quality Improvement performers, fifty, five were questionnaire surveyed, on the result of which Reliability Analysis, Factor Analysis, and Multiple Regression Analysis were made, using statistical program. The the results of the proof analysis on this research are as follows. First, in the factors influencing the devoting to goal pursuit of QI performers, organization-goal contribution(0.44) had significant positive effects, while organization conflict(-0.25) had significant negative effects. In other words, the higher the organization-goal contribution was, the higher the devoting to goal pursuit was, while the less the organization conflict was, the higher the devoting to goal pursuit was, which was statistically significant.(p<0.05). Second, in the aspect of goal performance types of QI performers, the process-centered type showed high level of the devoting to goal pursuit, which was statistically significant.(p<0.05). Third, in the aspect of QI performance degree, the higher the devoting to goal pursuit was, the higher the QI performance degree was, which was statistically significant.(p<0.05). In addition, the performers who perceived their workplaces organic structure showed much higher QI performance degree, which statistically significant.(p<0.05). Generalizing the results of this research, it is possible to offer a few suggestions as follows. First, as the competition among the medical centers is more severe recently owing to medical center evaluation system, medical centers are practicing various Quality Improvement operation in all of medical services such as clinical performance and management performance, to reach the purpose of both cost-cutting and medical quality improvement. Thus in order to practice Quality Improvement operation more efficiently in medical centers, it is essential to nuke use of problem-solving methods and statistical members. This as the willingness of chief executives and positive attitude and recognition of organization members. This requires the installation of divisions in charge and disposition of persons in charge, not to speak of persistent training of Quality Improvement. Second, the divisions in charge of QI carry out Quality Improvement operation at the medical center level, and take the role of generalizing and adjusting QI performances of various departments. Owing to this role, the division in charge of QI is considered indispensable organization in the QI operation of medical centers along with medical QI committee, while it contributes to the government's goal of reducing quality level gaps among medical centers. Therefore it is necessary for government and QI organizations to give institutional support and resources for the sake of QI operation of medical centers, besides to supply systematic trainning and informations to the divisions and persons in charge of QI. Third, it is certain that disposition of persons in charge should be determined in view of the scale and the scope of QI operation in medical centers.

  • PDF

노인복지시설(老人福祉施設)에 대한 대학생(大學生)의 의식(意識)과 관련요인(關聯要因) (An Awareness of Welfare Facility for the Elderly and It's Related Factors of College Students)

  • 좌윤택;남철현;박천만
    • 대한예방한의학회지
    • /
    • 제2권1호
    • /
    • pp.87-111
    • /
    • 1998
  • For the newly approach of policy with the old aged era at hand, the result which examines the 1,200 students attending professional colleges and upward in three small-to-medium sized cities, for two months, from October 1, 1996 to November 30, in order to know the change of consciousness of the growing modern young intellectual age group is as follows. 1. The objects of survey consist of 72.1% of women, 40.4% of 20 to 21 age, 49.1% of atheists, and people from big cities and fishing and agrarian village occupy equally 40.2%. Concerning the long-termed residents, 49% of them dwell in big cities. In case of the parents' age is more than 55, 31.5% in fathers, and 10.9% in mothers. 2. The types of housing in which they desire to reside in their getting older are : 72.8% of them hope to live in individual houses, 16.6% in apartments or villas, and 3.4% in social welfare facilities. Out of respondents, compared with other groups, man rather than woman, those who are 20 to 21 age group and from fishing and agrarian villages and have over 7 family members and live with their parents have a higher preference for independent houses. 3. The districts in which they hope to live when they are old are : 41.6% of them, with the highest percent, hope to live in farming villages, the older they are, the more they hope to live in agricultural district, and women of 21 years and upward hope to live in big cities. On the other hand, the preferable degree for social welfare facilities is higher each in people who are 24 years and upward, buddhists, self-boarding students, and the more poorly they are off, the higher the percent is. 4. The types of preferable welfare facilities for the elderly are : 58.2% of them think silver towns desirable, 28.4% think the charged (or free) elderly welfare facilities. Compared with other groups, the percentage which prefer silver towns is higher in women, people from big cities, residents of main family, long-termed city residents, people with higher income, people having grandparents alive, and people who had experience of taking lectures on hygienics or social welfare. 5. 50.3% of the respondents insist that provision of living expenses against old age should be insured by social security system, and 42.8% by the elderly themselves. The percentage of the former shows higher in people of 21 years and upward, women, residents of fishing and agrarian villages, christians, people in more needy circumstances and people who have experience of using a medical institution. 6. Compared with other nations, 54.5% of the respondents have an opinion that elderly welfare and welfare work in Korea stays in insufficient level and most of them are women, people from farming village, residents of head family, people having younger parents and people being worse health condition, and they have a more positive attitude about the elderly welfare work. 7. 92.3% of the respondents answered that a national budget for the elderly welfare is scarce, and the percentage is higher in people who are older, residents of big cities, people in lower living condition and people in worse health condition. 8. 35.2% of the respondents answered that the proper cost of their old age must be over 220mi11ion. The more a family's total income is, the higher the percentage is. 9. The factors which have an effect on the preference of silver towns are sex(p<0.01, the type of the present residence(p<0.05), and a family's total income(p<0.05). 10. From the survey result of the above, we comes to the conclusion that, for the sake of welfare of the increasing elderly population, government authorities and parties concerned must exert their utmost for the elderly welfare by increasing a budget of it and establishing a number of facilities of the elderly welfare and silver towns located in fresh and comfortable villages. In addition, they have to set up a course of hygienics in all the colleges and instruct the contexts on hygienic welfare as well.

  • PDF

간호센타 개발을 위한 건강증진 프로그램 요구사정 연구-유방자가검진 프로그램을 중심으로- (A Study on Need Assessment in Health Promotion Programs for Developing Nursing Centers - Breast Self Examination-)

  • 박인혜;강혜영;이정희;류현숙
    • 지역사회간호학회지
    • /
    • 제11권1호
    • /
    • pp.21-36
    • /
    • 2000
  • The purpose of this study was to assess the needs of breast self examination education (BSEE) programs for developing nursing centers. A first, we reviewed the literature of activity and management-related factors of nursing centers: and, second. we used a questionnaire to discover the degree of knowledge, attitude, and practice on breast cancer, as well as an individual's intention to participate BSEE program. 1. Reviewing the literatures of nursing center activities. Nursing centers which were administered by a professional nurse are an ideal site for faculty and student practices. With the use of nursing models of health. professional nurses in nursing centers diagnose and treat human responses to potential and actual health problems and offer holistic, client-centered health service. In nursing centers professional nursing services include health education, health promotion, and health-related research. A nursing center is comprised of the advisory and exacutive commitee; the advisory commitee serves consultants and links community needs to the nursing center, while the director of the exacutive commitee identifies the potential resources to generate funds, support, and facilitate the activities of staffs in a nursing center. Nursing centers mobilize various financal resources for reimbursement of services from college and insurance companies, collect minimum service fees from the client, and further collect fees for providing programs to community groups, this also includes membership fees, and donations. The services provided by nursing centers focus on services related to primary prevention, health maintenance & health promotion, direct nursing care for acute & chronic diseases, and holistic care for actual and potential health problems. The client satisfaction for the services was high. Students also showed positive reponses for their clinical experiences and independent working conditions. 2. The degree of knowledge, attitudes, and practices for breast cancer. and an individual's intention to participate in the BSEE program. The subjects of this study were 308 females in K-city in the Republic of Korea. Data were collected using a self-administered questionnaire. The mean age of the respondents was 35.0 years old. Those who already participated in the BSEE were 64.9%, and those who had support and encouragement to practice BSE from significant others were 25.1 %. Clients intent to participate in the BSEE were 37.0%. The mean score of knowledge(2.4 out of 5 points) and practices(1.8 out of 5 points) for breast cancer were quite low, but the mean score of attitudes was relatively positive04.5 out of 20 point) for breast cancer. Those who already had BSEE showed significantly high scores in knowledge(t=6.48, p<0.01), attitudes (t=10.54, p<0.01). and practices(t=57.07, p<0.001) for breast cancer than those who had not participated in the BSEE. In all age groups no intention to participate in the BSEE was higher than who the intention to participate. These findings suggest some strategies should be developed to increase the awareness of breast cancer's early detection.

  • PDF

농촌 조손가정의 양육, 건강 및 영양중재서비스의 효과 (The effect of rearing, health and nutrition intervention services on grandparents-grandchildren families in a rural Korean area)

  • 조유향;박윤창
    • 농촌의학ㆍ지역보건
    • /
    • 제35권3호
    • /
    • pp.274-286
    • /
    • 2010
  • 본 연구는 지역사회서비스투자사업의 일환으로 실시된 지역개발형 사업으로 중재서비스를 제공하는 작전연구의 일환으로 조손가정의 양육, 건강 및 영양중재서비스 효과를 분석한 분석적 연구이다. 연구대상자와 연구기간은 서비스제공집단과 비제공집단 간의 비교는 2008년 1월 현재 양육과 건강중재서비스 효과를 보았으며, 서비스제공집 단만의 조사는 2009년 1월에는 건강중재서비스의 효과를, 7월에는 영양중재서비스효과를 보았다. 조손가정의 인구사회학적 특성은 서비스제공집단과 비제공집단 간에 동질성이 확인되었으며, 조부모는 조모가 많은 편으로 평균 연령은 68.3세-70.1세이었고, 생활수준은 못 사는 편에 속하는 가정이 전체의 2/3 정도로 경제적 어려움을 보여주었으며, 교육수준은 "무학"이 가장 많았고, 배우자가 있는 조부모는 과반수이상이었다. 조부모의 양육스트레스는 서비스 제공집단과 비제공집단 간에 통계적으로 유의한 차이는 나타나지 않았으나, 아동이 지각한 조부모의 양육태도는 서비스를 받은 아이들의 우울수준이 현격하게 낮았다(t=2.90, df=116, p<.01). 부모영역의 스트레스는 통계적으로 유의한 차이를 보였고(t=1.85, df=116, p<.10), 학업영역에서는 현격한 차이를 보여 중재서비스의 효과(t=3.98, df=116, p<.001)가 검증되었다. 조부모의 건강상태에 대한 서비스제공집단과 비제공집단간에는 우울, 급성질환이환율, 수단적 일상생활수행 능력, 인지기능 및 운동실천율에서 유의한 차이가 있는 것으로 중재서비스의 효과가 나타났다. 하지만, 서비스제공집단만의 1년 후의 효과에서는 중재서비스의 효과가 없는 것으로 나타났지만 상태는 유지된 것으로 나타났다. 영양중재서비스는 총점에서 통계적으로 유의한 효과는 없었으나, 하부영역인 주관적 영양 평가항목에서 유의한 차이가 있는 것으로 검정되었다(t=18.230, p<.0001). 결론적으로 조손가정의 양육, 건강과 영양중재서비스가 효과가 있는 것으로 나타나, 앞으로 조손 가정을 위한 중재서비스가 정책적으로 시도되어야 할 것이다.

고등학생의 체중조절에 대한 관련 행동 및 태도 (The Behavior and an Attitude for Weight Control of High-School Students)

  • 최종철;박영수
    • 한국학교ㆍ지역보건교육학회지
    • /
    • 제3권
    • /
    • pp.59-78
    • /
    • 2002
  • The purpose of this study was based on students in high school to find out how interest eating and controlling weight on normal time by sex to let them get a better sense's of view on weight controlling so they can get healthy, and healthy school life and concentrate on studying, As a result of analyzing the data collected for the subject of high school students, the conclusions were as follows; First, out of 325 students, 44.6% were male students, and 179 were female students, Compared to the BMI, normal mass were 50.8%, which were 165 students, less weighted were 39.7%, which were 129 students, and over weighted were 9.5%, which were 31 student. Also average height for male students were 173.8 cm, for female students were 161.5 cm, average weight were 67.2 kg for male students, and for female students were 53.2kg. Using BMI analysing the results and the male students had an average of 22.2%, and the female students had an average of 20.3%, so male students were a little higher than the female students. Second, the interest rate for weight control were 82.2%, that's 267 students for, 'interested' and 7.8%, which were 58 student for 'not interested', so most students were interested, in controlling weight. Interest rate were 83.6% for male students, 81.0% were female students. BMI told that group of less weighted were 82.9%, group of normal were 79.4% and group of over weighted were 93.5%. The rate were all high not relating to BMI. Third, compared to the past, more people said 'normal'(41.3%), people who said 'a little fat'(36.3%) decreased, but they still think they are fat even though they are not, also when they are less weighted they still think they are fat. Fourth, for 'weight control, and food' both male and female said they were related, and for 'weight control and exercising' they also said they were related, but more male said that they were related, However for relations between' controlling weight and school's physical education class' the answers were usually disagree. Fifth, for the 'satisfaction of their present weight', both BMI and the students answered and this results were mostly same as the past result, so most students prefer to lose weight. Also, both male and female think that the reason they have this weight now is, because of 'the amount of exercises' and 'the amount of food they eat', so they find that it's related to each other. Sixth, for the experience on weight control, both male and female had experiences, and they answered 'exercising and food treatment' is the good way to control weight. Also for 'the reason they started to control there weight', both male and female answered, 'they thought there weight were not normal'. Seventh, 'Do you pick on food to control weight?' and 'Do you feel nervous before you eat?' and for last 'control of drinking water' the answer was all different, and both male and female answered negatively. Eighth, time wasted on exercising per day, for less than 30 minute were 81.5%, the form of exercises that students did were 'not much or walking on the way to school and way to home'. Usually for their free time, male students spend on exercising however female student did not. Also both female and male students showed that they like to exercise, but majority of female student disliked to exercise. To everyone's point of view 'like'(32.9%), 'like a lot'(20.9%), so everyone agrees. The knowledge information on controlling weight, they answered, usually found from commercials, newspaper or magazines and from parents or friend. From the past many high school students wanted to control their weight, so there should had been a good education on this, however there wasn't any of those education and still it doesn't exist. Also most school's education are arranged to entrance pressure so they have a lot of knowledge and informations to it, but for real they don't have any activity or actions on it. Through this research, we felt that, we should correct students with wrong understanding on controlling weight and wrong knowledge. Also we suggest to make an activity program for this.

  • PDF

동영상 광고에서 나타나는 '소격화' 효과에 관한 연구 - 광고 <017-I-Touch편 (손이 물갈퀴) >를 중심으로 -관어영시광고중소출현적‘맥생화’효과적연구(關於影視廣告中所出現的‘陌生化’效果的硏究) (A Study on 'Verfremdung' effects in visual advertisements with a special reference to the <017-I-Touch series, The Hand Transformed into a Web >, mobile network advertisement)

  • 김일용;안상수;김종덕
    • 디자인학연구
    • /
    • 제18권2호
    • /
    • pp.37-46
    • /
    • 2005
  • 오늘날 광고는 영상광고가 지배한다. 특히 동영상 광고는 광고의 여러 가지 형태 가운데 전달하려고 하는 정보를 가장 효과적으로 전달할 수 있는 매체로서, 멀티 미디어의의 효과로 생동감 있는 화면을 전달하며 대중들의 소비심리를 자극하고 촉진시킨다. 최근의 몇몇 동영상 광고에서도 '소격화' 효과가 두드러짐을 볼 수 있다. '소격화'는 브레히트의 서사극에서 중요한 표현으로 사용되었던 용어이다. 이것은 전통 희곡과는 다르게 관객들에게 감정이입이 아니라, 오히려 감정을 차단시키는 효과를 가져옴으로써 연극에 몰입되지 않고 관람자로서 자신의 위치를 깨닫게 되며 연극에 대한 비판의식을 가지게 된다. 그 효과들은 '낯설게 하기 '관객의 참여' '현실의 비판' '속도'의 표현을 통하여 나타나고 있다. <017-I-Touch편 (손이 물갈퀴) >는 이동 통신사인 신세기 통신의 아이터치 브랜드의 광고로서 '내 혈액형은 i' 라는 카피를 내세운다. 여기서 현실에서는 있을 수 없는 허구의 영상이 나타나는데 편의상 여섯 개의 장면으로 나누어 볼 수 있다. 배경으로 등장하는 바다는 전체 장면을 유도하고 있지만 하나의 내용으로 일관성 있는 장면의 진행이 아이라 각각 독립된 장면으로서, 서로 낯설게 하는 '소격화'된 내용들이 뒤섞여 있음을 볼 수 있다. 소비자들은 이러한 순간적인 '소격화'의 효과와 함께 후기모더니즘 광고의 언어적 표현을 더 깨닫게 한다. 장면과 장면 '사이의 '차이'에 의한 '소격화'는 서로 거리를 두게 하고, 각 장면 사이의 생략으로 인한 광고는 '속도감' 있게 연출된다. 광고에서 관객은 처음에는 전체적으로 한 번에 이해되지 않는 파편처럼 보이는 내용들에 대해 당혹감을 느끼게 된다. 이러한 당혹감과 충격은 관객들의 뇌리에 오래 남아 광고 자체가 큰 주목을 끄는 효과를 가져오게 한다. 짧고 강렬한, 그러나 파편화된 장면으로 구성된 동영상 광고에 반복적으로 노출되는 관객은 곧 이러한 당혹감을 극복하고 각각 장면의 단절된 부분에 적극적으로 자신의 상상력을 개입시켜 이를 이해 가능한 내용으로 구성하려는 능동적인 시도를 하게 된다. 이 과정에서 브랜드 이미지를 소비자에 각인시키려는 광고의 목적이 달성되는 것이다. 이는 연극에서 관객들의 이성을 환기시켜 객관적이고 비판적인 의식을 환기시키는 브레히트의 '소격화'의 효과가 소비자의 관심을 환기시켜 특정한 목적을 달성하려는 광고에 효율적으로 적용된 예 인 것이다.

  • PDF

말기암환자에 대한 여명 예측교육 후의 의료인의 자신감과 정확도 및 지식의 변화 (The Changes of Confidence, Accuracy and Knowledge of Medical Professionals after the Education for Survival Prediction in Terminally Ill Cancer Patients)

  • 박준석;백나영;서상연;김유일;정휘수;오상우;성낙진;안홍엽;서아람;이용주
    • Journal of Hospice and Palliative Care
    • /
    • 제15권3호
    • /
    • pp.155-161
    • /
    • 2012
  • 목적: 많은 의료인들은 여명 예측을 어려워하는데, 교육의 부족이 이러한 어려움을 가져오는 요인들 중 하나이다. 그러나 최근 여명 예측에 도움이 되는 여러 가지 예후 지수가 발표되었다. 본 연구에서는 의료인들을 대상으로 예후 지수에 대해 교육을 실시하고 이러한 교육이 여명 예측의 정확도, 자신감, 지식을 향상시키는지 알아보고자 하였다. 방법: 2009년 7월 22일, 경기도 소재 일개 대학병원에서 '말기암환자의 여명 예측'에 대한 교육을 실시하고 간호사 및 의사 29명의 참가자를 대상으로 교육 전 후의 여명 예측에 대한 자신감, 정확도, 지식의 항목을 중심으로 변화를 측정하였다. 교육은 완화의학을 전공한 1인의 가정의학과 교수가 파워포인트를 사용하여 Palliative Prognostic score (PaP score)와 Objective Prognostic Score (OPS)에 대해 강의하고 상호문답 방식으로 40여분간 진행하였다. 결과: 교육 전 후의 자신감 평균은 교육 전의 $4.00{\pm}1.73$ (평균${\pm}$표준편차)점 (0~10 visual analog scale)에 비해서 교육 후가 $5.83{\pm}1.71$점으로 유의하게 높았으며(P<0.001) 나이가 많을수록 교육 전 여명 예측의 자신감이 유의하게 높았고(P=0.04), 진료 또는 간호 증례 수가 많을수록 여명 예측 교육 전 후의 자신감이 유의하게 높게 나왔다(각각 P=0.005, P=0.017). 교육 전 후의 여명 예측 정확도도 교육 후가 27/29명(93.1%), 교육 전이 14/29명(48.0%)으로, 교육 후가 교육 전보다 유의하게 높게 나왔다(P<0.001). 결론: 예후 지수를 활용하여 여명 예측을 교육했을 때 여명 예측에 대한 자신감, 정확도의 상승은 유의하였다. 이러한 결과의 일반화를 위해 앞으로 의료인들을 대상으로 하는 생존 기간 예측 교육이 필요할 것이다.